| Sergio R. Gomez M.d. Inc | |
|
2005 North Garey Ave Pomona CA 91767 | |
| (909) 868-1620 | |
| (909) 593-4500 |
| Full Name | Sergio R. Gomez M.d. Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2005 North Garey Ave, Pomona, California |
| Authorized Official Name and Position | Sergio Rene Gomez (MEDICAL PRESIDENT) |
| Authorized Official Contact | 9098681620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sergio R. Gomez M.d. Inc 2005 N Garey Ave Pomona CA 91767-2721 Ph: (909) 868-1620 | Sergio R. Gomez M.d. Inc 2005 North Garey Ave Pomona CA 91767 Ph: (909) 868-1620 |
| NPI Number | 1134325822 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 05/31/2016 |
| Medicare PECOS PAC ID | 7719919455 |
|---|---|
| Medicare Enrollment ID | O20050902000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134325822 | NPI | - | NPPES |
| 00A742760 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A74276 (California) | Primary |
| Provider Name | Sergio R Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689720112 PECOS PAC ID: 0446282180 Enrollment ID: I20050912000837 |
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